Apply your pain management skills for patient Chad Wright who has a long history of chronic knee pain and chronic opioid therapy.
Timing for the case:
- Please allow ~ 30 seconds for the case to load.
- The overall experience should take you ~ 10 minutes to complete.
- Please give feedback on the case in the post-survey at the end of the activity.
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1. The diagnosis of opioid use disorder involves a pattern of opioid use causing clinically significant impairment or distress, and at least two diagnostic criteria. Source DSM-5 (APA, 2013 in PCSS, 2013).
2. Non-opioid medications and nonpharmacological therapy are the preferred first-line treatment for chronic pain according to the CDC’s evidence-based guidelines (Dowell et al., 2016).
3. Only consider opioids if:
• First-line treatments are not effective.
• Pain is moderate to severe.
• Benefits for both pain and functioning are likely to outweigh risks.
4. If opioids are prescribed:
• Prescribing a 3-day supply is sufficient for most acute pain, typically no more than 7 days is needed.
• Minimize dose by combining with other therapies and multidisciplinary treatment.
• Use written provider-patient treatment agreements.
• Monitor patients regularly, including an assessment for continued need.
5. Prior to prescribing chronic opioids:
• Obtain a complete pain history, including all past treatments that have been tried and response to treatment.
• Consult your state’s Prescription Drug Monitoring Program (PDMP).